FILLMORE CHRISTIAN GARDEN
NPI 1922382290
Assisted Living Facility - Assisted Living, Mental Illness in Fresno, CA

Q: What is Providian Residential Care Services, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since October 05, 2011

4826 E FILLMORE AVE, FRESNO, CA 93727(559) 284-6183(559) 452-1536 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fillmore Christian Garden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FILLMORE CHRISTIAN GARDEN (NPI 1922382290) is a healthcare organization registered as an assisted living, mental illness in Fresno, California and active in the NPI registry since October 2011. The organization lists Carmen Jamili Milly, Accountant/owner, as its authorized official.

NPPES Registry Identity

NPI1922382290

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NamePROVIDIAN RESIDENTIAL CARE SERVICES, INC.

Location Address4826 E FILLMORE AVEFresno, CA 93727-3701

Mailing Address4826 E Fillmore AveFresno, CA 93727-3701 · (559) 284-6183 · Fax (559) 452-1536

Phone(559) 284-6183

Fax(559) 452-1536

Organization SubpartNo

Authorized OfficialCarmen Jamili MillyAccountant/owner · (559) 284-6183

Enumeration DateOctober 5, 2011

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1922382290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in CA · 107202478

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

4826 E FILLMORE AVE, Fresno, CA 93727

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Other Names 1

Doing Business AsFillmore Christian Garden

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providian Residential Care Services, Inc.'s NPI number?

The NPI number for Providian Residential Care Services, Inc. is 1922382290. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is doing business as Fillmore Christian Garden.

Where is Providian Residential Care Services, Inc. located?

Providian Residential Care Services, Inc. is located at 4826 E Fillmore Ave, Fresno, CA 93727. The listed phone number is (559) 284-6183.

What is Providian Residential Care Services, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Providian Residential Care Services, Inc. was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.